Eyelid Surgery(Blepharoplasty)

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

What is eyelid surgery (blepharoplasty)?

An eyelid lift, or blepharoplasty, is a surgical procedure to remove skin and to add or remove fat from the eyelids. The term "eyelid lift" is a misconception because the eyelid is not lifted during surgery.

Upper blepharoplasty surgery uses incisions on the skin to allow for removal of skin and fat. A thin stitch is then used to bring the skin together to allow for a creation of an eyelid crease.

Lower eyelid surgery can involve skin incisions directly below the lash line or an incision on the inside of the eyelid, called a transconjunctival approach. The transconjunctival approach allows for access to the eyelid fat without visible incisions making this technique perfect for patients who need fat removed or added. This approach can be combined with laser resurfacing of the eyelid skin to reduce lines and wrinkles.

Why is eyelid surgery performed?

Upper eyelid excess skin and fat can create a heavy looking eyelid, aged appearance, puffiness, and sometimes block vision. Upper blepharoplasty is performed to remove excess skin and fat and can improve vision.

Double eyelid surgery (sometimes termed Asian eyelid surgery) is performed to create an upper eyelid crease. Double eyelid surgery is also called Westernization of the eyelid.

Lower blepharoplasty is performed to remove excess skin, reduce wrinkles, and improve the shape of the lower eyelid by removing skin and fat. Sometimes tightening the eyelid is needed to correct droopiness or sagging. Adding fat is done to improve a “hollowed” appearance.

Who is a good candidate for eyelid surgery?

Those individuals with realistic expectations who are in good health are suitable for eyelid surgery.